Individual provider · Type 1 NPI
Tarique Cooper, LADC II
Addiction (Substance Use Disorder) Counselor · Worcester, MA
NPI number
1992596662
Active
Practice location
90 Madison Street, Suite 502
Worcester, MA 01608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 24408 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1992596662
Tarique Cooper, LADC II's National Provider Identifier is 1992596662, issued on May 13, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Worcester, MA. The record was last updated on May 15, 2025.